Biotechnology & Genomics
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DNA SEQUENCING REQUEST FORM

Please fill in the following form and click "Next".

   

Request by:
Date:
Department:
FOP#:
Mail Stop:
Email Address:
Telephone #:
Faculty:
Please complete the following chart before submitting request.  The Core Facility will provide the following common primers, if you wish to use them:  T7, T3, SP6, M13R, M13U. 

Template Name
(only 8 characters per
template; use standard
numbers and letters)
Template Type Template Concentration ng/ul Template Length Primer Name Primer Concentration pmol/ul
Plasmid
PCR
Phage


 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 
Plasmid
PCR
Phage



 


Number of templates:

Number of reactions:

Do you want your electropherograms:
emailed?
printed?

DNA preparation:
Purification method:
Kit used:

Additional Comments (use of this service with another service, and/or any additional information):